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201700718
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1/31/2017 4:14:55 PM
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1/31/2017 4:14:55 PM
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201700718
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Jan. 31. 2017 3:59PM NE Secretary of State - UCC No. 9473 P. 6 <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby <br />given that the State Tax Lien which has been duly filed by the Nebraska <br />Department of Revenue against the below -named taxpayer, Is <br />terminated, partially released, or subordinated to the extent indicated <br />below. <br />Nebraska Identification Number <br />95628487 <br />Lien Serial Number <br />11673792 <br />El SUBORDINATION- <br />sign <br />here <br />Federal Identification Number <br />Lien flied with Register of Deeds <br />BUSINESS NAME AND LOCATION ADDRESS <br />Rl'ebrAeke Dloarbfc6nl'o1 State Tax Lien Statement of Termination or <br />REVENUE Certificate of Partial Release or <br />Subordination <br />gl TERMINATION OF TAX LIEN. The State Tax Lien is hereby fully terminated. UCC Instrument Number 99167704930 <br />TAX YEARS 2013 2019 <br />(corporate, Individual income, and withholding tax only) Continuance: UCC Instrument Number <br />Continuance: County Instrument Number <br />El PARTIAL RELEASE. The State Tax Lien to partially released as follows: UCC Instrument Number <br />TAX YEARS - County Instrument Number <br />(corporate, Individual income, and withholding tax only) <br />The State Tax Lien is subordinated as follows. UCC Instrument Number <br />County Instrument Number <br />ereby certi the Nebraska Department of Revenue has comp ed with the revenue laws ' e tate of Nebraska in <br />determination of the termination, Lel release, or subordination Indicated above. <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />Title <br />Social Security Number <br />XXX - XX - 5122 <br />Date of Lien <br />06/29/2016 <br />Type of Action <br />4 E Eve of S1a4e John N Gat. - UCG Teo <br />1 <br />9917786170 —a Par: 1 <br />GREGG SHELLY A <br />Filed: 0113112017 11;19 AM <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Tax Category County <br />22 HALL <br />TAXPAYER NAME AND MAIUNG ADDRESS <br />SHELLY A GREGG <br />4140 ELMWOOD DRIVE <br />GRAND ISLAND NE 68803 <br />County Instrument Number 201604221 <br />01/27/2017 <br />Date <br />201700718 <br />Spouse's Social Security Number <br />(308)632 - 1203 <br />Telephone Number <br />01/27/2017 <br />Data <br />44.32 .09 Rev. 6 -9e Superman; 4 -232,69 Rev.1496 <br />
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